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General NPI Number Information
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NPI Number | 1861876112
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Entity Type | Organization
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Legal Business Name | WESTSTAR MEDICAL LLC
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 07/16/2015
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Provider Practice Location Address
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Address Line | 9015 E VIA LINDA STE 103
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5410
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Country | US
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Telephone | 888-661-4486
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Fax |
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Provider Business Mailing Address
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Address Line | 3370 N HAYDEN RD STE 123
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6632
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Country | US
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Telephone | 888-861-4486
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JAMES V HARVEY
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Credential | JD/LLM
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Telephone | 888-661-4486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 03D2085583
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License Number State | AZ
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